Amanda Leah Rodriguez Rogers

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

2182 State Route 29 Hwy
Hunlock Creek, PA 18621-4512

Phone

(570) 239-8052

NPI assigned

Oct 2, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Amanda Leah Rodriguez-Teutonico Former name

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Children'S Service Center of Wyoming Valley, Inc

  • Counselor
  • Wilkes Barre, PA
  • NPI 1700861242

  PA

  Medicare reassignment Care Compare group NPD
• Children'S Service Center of Wyoming Valley, Inc

  • Federally Qualified Health Center (FQHC)
  • Wilkes Barre, PA
  • NPI 1710617857
  Care Compare group NPD
• Green Phoenix Behavioral Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dallas, PA
  • NPI 1023875010
  NPD Authorized official
• Children'S Service Center of Wyoming Valley Inc

  • Federally Qualified Health Center (FQHC)
  • Wilkes Barre, PA
  • NPI 1689527392
  Care Compare group
• Children'S Service Center of Wyoming Valley, Inc

  • Occupational Therapist
  • Wilkes Barre, PA
  • NPI 1649060955
  NPD

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Children'S Service Center of Wyoming Valley Inc 32 clinicians

Practice addresses (Care Compare)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1104606847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2182 STATE ROUTE 29 HWY",
            "city": "HUNLOCK CREEK",
            "state": "PA",
            "postal_code": "186214512",
            "telephone_number": "570-239-8052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2182 STATE ROUTE 29 HWY",
            "city": "HUNLOCK CREEK",
            "state": "PA",
            "postal_code": "186214512",
            "telephone_number": "570-239-8052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ ROGERS",
        "first_name": "AMANDA",
        "middle_name": "LEAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "RODRIGUEZ-TEUTONICO",
            "middle_name": "LEAH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• All providers in Hunlock Creek, PA
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.